Should transactions on claims under USL&H, excess coverage, homeowners or self-insured coverage be included in the Medical Data Call submissions?
Should transactions on claims under USL&H, excess coverage, homeowners or self-insured coverage be included in the Medical Data Call submissions?
Question:
Should transactions on claims under USL&H, excess coverage, homeowners or self-insured coverage be included in the Medical Data Call submissions?
Answer:
No. USL&H, excess coverage, homeowners and self-insured experience should be excluded from the Medical Data Call records. Only claims resulting from direct California insurance coverage (reported with jurisdiction state code 04 for California or 59 for Federal) should be included in the Medical Data Call records.